Suto Daisuke, Yoshida Masashi, Otake Takaaki, Ichiishi Eiichiro, Sato Kiichi, Osawa Yosuke, Ebinuma Hirotoshi, Odaira Hironori, Suzuki Yutaka, Kohgo Yutaka
Department of Gastroenterology, International University of Health and Welfare Hospital, 537-3 Iguchi, Nasushiobara, Tochigi, 329-2763, Japan.
Department of Surgery, International University of Health and Welfare Hospital, 537-3, Iguchi, Nasushiobara, Tochigi, 329-2763, Japan.
Ann Med Surg (Lond). 2021 Dec 4;73:103141. doi: 10.1016/j.amsu.2021.103141. eCollection 2022 Jan.
Colonic diverticular bleeding is the most common type of gastrointestinal bleeding. We report a case of an 82-year-old man with a chief complaint of melena. Enhanced computed tomography showed multiple diverticula, and water-assisted colonoscopy could not help identify the diverticulum responsible for bleeding. We injected VISCOCLEAR, a novel gel formulation, into the digestive tract endoscopically and successfully localized the bleeding point. Moreover, the use of VISCOCLEAR secured a clear visual field with reduced glare, as seen in the digital endoscopic image. Subsequently, we performed hemostatic clipping. The course after the endoscopic treatment was unremarkable. In this case, we could identify the exposed bleeding vessels in the diverticulum using VISCOCLEAR and perform hemostatic clipping. We intend to evaluate the effectiveness of VISCOCLEAR further by analyzing a series of cases.
结肠憩室出血是最常见的胃肠道出血类型。我们报告一例82岁男性，主诉为黑便。增强计算机断层扫描显示多个憩室，水辅助结肠镜检查无法确定出血的憩室。我们在内窥镜下将一种新型凝胶制剂VISCOCLEAR注入消化道，成功定位了出血点。此外，如数字内镜图像所示，使用VISCOCLEAR可确保视野清晰，减少眩光。随后，我们进行了止血夹闭术。内镜治疗后的病程平稳。在本病例中，我们使用VISCOCLEAR识别了憩室内暴露的出血血管并进行了止血夹闭术。我们打算通过分析一系列病例进一步评估VISCOCLEAR的有效性。
